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OR on HD #3 Extubation on HD #4 (1 days vent.) TV 900ml postop. Discharged 16 days later to rehab

51
Pulmonary toilet, pain control are key Local paravertebral anesthesia can be an adjunct Rib fixation  Consider within 5 days of injury  Liberal use of 3-D CT scan images  Locking plates  Elderly patients with brittle bones can be done  Every fracture does not need to be fixed  Thoracotomy and double-lumen intubation not necessary